Richele Tumanuvao
Anchorage,AK
Summary
Human resources professional with extensive experience in benefits administration, known for implementing strategic benefits solutions that enhance organizational efficiency. Ability to foster team collaboration and drive results while adapting to changing business needs. Skilled in regulatory compliance, benefits planning, and employee engagement.
Overview
25
25
years of professional experience
Work History
HR Generalist II
The Aleut Corporation – Human Resources
Anchorage, AK
05.2023 - Current
- Manage end-to-end benefits administration, including employee enrollments, terminations, eligibility changes, and employee inquiries; serve as the primary point of contact with insurance carriers and internal stakeholders.
- Oversee benefits program operations, ensuring accurate and timely invoicing by partnering with Accounting and reconciling monthly benefit billing from carriers and TPAs.
- Administered Benefits communication channel, triaging inquiries and prioritizing requests to achieve same-day response standards.
- Led ACA compliance and reporting, utilizing UKG for accurate filings and regulatory adherence.
- Directed employee wellness program, evaluating vendors, designing programs, planning annually, and initiating engagement initiatives with wellness committee.
- Own Open Enrollment strategy and execution, partnering with brokers/consultants and vendors to implement plan changes, update system configurations, and deliver employee education materials.
- Administer the Federal Employee Health Benefits (FEHB) program, including enrollment processing, billing management, and system transactions (TIPS, SNOW, DPRW, SALL) to ensure compliance and accuracy.
- Lead HRIS benefits configuration and data integrity efforts, including system setup, testing, census file management, and troubleshooting within UKG.
- Manage employee leave and disability programs, partnering with MetLife to coordinate claims, ensure timely processing, and provide clear guidance to employees and leadership.
- Maintain compliant and audit-ready employee records, conducting regular audits and ensuring proper documentation, confidentiality, and regulatory adherence.
- Support full-cycle recruiting operations, including job postings, interview coordination, background checks, and collaboration with hiring managers to refine job descriptions and track requisitions.
- Ensure compliance with federal and state reporting requirements, including preparation and submission of required filings and audits.
- Lead non-discrimination testing efforts, coordinating data collection, validating datasets, resolving discrepancies, and ensuring compliance with plan requirements.
- Partner with HR leadership to design and implement strategic initiatives, contributing to program development, process improvements, and organizational effectiveness.
- Support HR systems enhancements and implementations, including data gathering, system testing, and process integration for HRIS improvements.
- Leverage Asana for project and program management, creating and managing workflows to track employee lifecycle changes (new hires, terminations, promotions, enrollments, onboarding) as well as developing and maintaining the annual Benefits and Wellness calendar to ensure timely execution of key initiatives.
Benefits Analyst III
Ahtna – Human Resources
Anchorage, AK
02.2023 - 05.2023
- Administration of benefit related tasks, including enrollment and termination of coverage, answering benefit related questions from employees, communicating with insurance carriers, presenting new hire orientation, answer phone inquiries and data entry in Cost Point, bSwift, and TIPS for FEHB.
- Delivered exceptional customer service to employees and vendor partners, ensuring prompt resolution of inquiries.
- Processed benefit statements, verifications, and child support orders, maintaining compliance and accuracy.
- Answer inquiries from disability carrier.
- Process and review weekly and bi-weekly payroll adjustments.
- Work closely with payroll team answering inquiries related to benefit deductions.
- Process bi-weekly HSA contributions and send them to AP for processing.
- Participate in monthly vendor partner meetings.
Benefits Administrator
GCI – Human Resources
Anchorage, AK
02.2018 - 02.2023
- Oversaw daily operations and team performance
- Provide excellent customer service to employees and vendor partners.
- Answer inquiries about leave and disability.
- Provide information for FMLA, ADA and disability claims in a timely manner.
- Assist with annual filing of the ACA 1095-C’s by comparing data for accuracy and making changes if needed before final mail out.
- Complete annual census for insurance brokers by gathering and comparing all employee data to ensure accuracy.
- Assist with annual filing of the ACA 1095-C’s by comparing data for accuracy and making changes if needed before final mail out.
- Work closely with payroll team and payroll vendor answering inquiries related to benefit deductions.
- Process and review bi-weekly and quarterly payroll adjustments.
- Process monthly employer HSA contributions and keep an ongoing record of monthly contributions.
- Create standard operating procedures for benefit processes..
- Processed accurate monthly benefit TPA invoices through thorough review and correct GL coding.
- Review and process weekly medical and dental claims by providing accurate coding and backup for Accounts Payable.
- Provide reporting to Finance for month end processing.
- Process and manage annual & new hire HSA loan requests.
- Managed and updated electronic benefit forms to maintain compliance and accuracy.
- Review and update annual benefits guide.
- Participate in monthly vendor partner meetings.
- HRIS testing prior to Open Enrollment to ensure changes are applied.
- Compare year end reports to ensure accuracy for tax purposes.
- Coordinated onsite biometric and flu shot clinics for multiple locations.
- Managed wellness program incentives by completing monthly eligibility reviews to ensure all eligible employees and dependents received credits timely.
- Supported the Benefits Manager in all areas of benefits administration.
- Work with Benefits Manager and team to brainstorm solutions to problems, assist development and implementation of programs, and carrying out strategic initiatives.
- Gather appropriate data and assist with implementation of new benefit programs/vendors.
HR Administrator
The Aleut Corporation – Human Resources
Anchorage, AK
01.2015 - 04.2017
- Benefits administration, including enrollment and termination of coverage, answering benefit-related questions from employees and/or payroll, ordering ID cards, communicating with insurance carriers, assisting with benefits presentations, etc.
- Gathered and reconciled monthly employee census data with benefit bills to ensure accurate billing.
- Assist in recruiting efforts by posting jobs, checking references, scheduling interviews, initiating background checks, etc.
- Delivered exceptional customer service to employees, applicants, and shareholders by addressing inquiries and providing relevant resources.
- Supported recruiting efforts by posting job openings, verifying references, scheduling interviews, and initiating background checks.
- Gather monthly employee census information and reconcile to each benefit bill.
- Organize and maintain personnel records so they are kept up to date, organized, and stored in line with regulations and in a confidential manner. This will include periodic audits of records.
- Process employment statements, verifications, and unemployment claims
- Completed compliance reports for various government agencies to ensure regulatory adherence. to various government agencies.
- Supported the HR director in various human resources functions.
- Gather appropriate data and assist with implementation of new HRIS system.
- Process accurate monthly billing for benefit TPAs.
- Process accurate monthly billing for benefit TPAs.
Benefits Administrator/Compensation Analyst
Alaska Native Tribal Health Consortium – Human Resources
Anchorage, AK
04.2012 - 01.2015
- Assisted with benefit plan administration of programs such as Disability, Company Paid and Voluntary Life Insurance, Retirement, Workers Compensation and Family and Medical Leave Act (FMLA).
- Interpreted plan documents to assist employees in understanding and using their benefits.
- Guided employees through benefits enrollment and application processes to enhance understanding and compliance.
- Assisted employees in completing benefits enrollment and application forms.
- Reconciled benefit enrollment with payroll data. Prepared and submitted weekly reports.
- Maintained accurate employee benefits enrollment records and coordinated with vendors to ensure seamless tracking and administration.
- Assisted with Open Enrollment process.
- Commissioned Corps Awards Coordinator: organized award nominations, gathered information, and submitted award nomination to Commissioned Corps Headquarters. Facilitate monthly meetings. Take and distribute monthly meeting minutes.
- Managed Human Resources front desk during peak times.
- Navigated and updated benefit information in HRIS daily.
- Administered all aspects of the ANTHC Awards program, to include Team of the Year, Employee of the Year, Individual Awards, Employee Celebrations and other similar awards and functions.
- Commissioned Corps Awards Coordinator: organized award nominations, gathered information and submitted award nomination to Commissioned Corps Headquarters. Facilitate monthly meetings. Take and distribute monthly meeting minutes.
- Covered Human Resources front desk as needed.
- Maintained and updated electronic job description library.
- Extracted and reported wage and salary data for salary surveys to inform compensation strategies.
Case Manager Assistant
Alaska Native Tribal Health Consortium – Internal Medicine Clinic
Anchorage, AK
06.2008 - 06.2011
- Assisted Case Managers in maintaining a variety of files, logs and registers. Assisted nursing staff with admissions, lab order entry, radiology order entry, and retrieval of computerized forms.
- Processed referrals to facilitate timely patient care.
- Maintained medical records.
- Coordinated patient appointments, arranging travel and lodging to ensure access to services.
- Scheduled clinical and diagnostic appointments. Coordinated patient schedules with other clinics or facilities.
- Trained new case manager assistants.
- Assisted with the interview and hiring process of staff.
- Covered the Internal Medicine Clinic front desk, answering multiple phone lines, checking patients in, and tracking appointments.
- Served as alternate timekeeper, ensuring accurate recording of employee hours.
- Assisted case managers in maintaining files, logs, and registers to support efficient case management operations. I assisted nursing staff with admissions, lab order entry, radiology order entry, and retrieval of computerized forms.
Senior Medical Billing Specialist
Alaska Native Tribal Health Consortium – Business Office
Anchorage, AK
08.2007 - 06.2008
- Determined and submitted billable claims; processed and corrected accounts, verified diagnosis and authorization codes, identified liability and guarantors, reviewed and adjusted account balances, interpreted Explanation of Benefits (EOBs), and analyzed billing components to ensure accuracy and compliance.
- Ensured correct and prompt claim payments through confirmation from providers. Tracked and monitored claim processing; resolved outstanding claims.
- Posted payments and adjustments in billing databases; prepared batches for posting. Verified all identified insurance carriers for eligibility; confirmed carrier policy.
- Reviewed claims before submission to insurance carrier.
- Assisted patients and insurance carriers with inquiries and claims processing.
Senior Medical Clerk
Alaska Native Tribal Health Consortium – Internal Medicine Clinic
Anchorage, AK
06.2006 - 08.2007
- Conducted yearly evaluations for front desk staff per HR guidelines, ensuring compliance and performance standards.
- Facilitated interview and hiring process for medical clerks, contributing to team building and staffing quality.
- Scheduled and confirmed appointments with patients and medical staff; resolved scheduling problems.
- Managed scheduling and task assignments for staff, providing guidance and recommending performance improvements.
- Completed yearly evaluations for front desk staff following HR guidelines.
- Resolved coding and records problems.
- Co-chaired Registration Redesign Committee to improve patient flow.
Case Manager Assistant
Alaska Native Tribal Health Consortium – Internal Medicine Clinic
Anchorage, AK
01.2004 - 06.2006
- Assisted Case Managers in maintaining a variety of files, logs and registers. Assisted nursing staff with admissions, lab order entry, radiology order entry, and retrieval of computerized forms.
- Coordinated patient appointments and ensured travel and lodging were arranged.
- Coordinated patient appointments, arranging travel and lodging to facilitate access to care.
- Obtained medical information from other health facilities or providers.
- Scheduled clinical and diagnostic appointments. Coordinated patient schedules with other clinics or facilities.
- Covered the Internal Medicine Clinic front desk, answering multiple phone lines, checking patients in, and tracking appointments.
- Served as timekeeper, managing employee attendance records.
- Assisted Case Managers in maintaining a variety of files, logs and registers. Assisted nursing staff with admissions, lab order entry, radiology order entry, and retrieval of computerized forms.
Medical Clerk
Southcentral Foundation – Family Medicine Clinic
Anchorage, AK
10.2001 - 08.2004
- Supported operations through efficient scheduling, reception, and record maintenance.
- Handled multiple phone lines at reception, ensuring efficient communication.
- Managed patient scheduling and appointment coordination to enhance clinic workflow.
- Processed patient registration and insurance verification efficiently to ensure smooth operations.
- Maintained accurate electronic health records using advanced medical software systems.
Education
SHRM-CP -
Society For Human Resources Management
High School Diploma - undefined
AJ Dimond High School
Anchorage06-2001
Skills
- Benefits administration
- Talent acquisition
- Benefits management
- Onboarding and orientation
- Employee onboarding
- HR policies and procedures
- Job analysis
- HR project management
- Document compliance management
- Confidential document control
- Onboarding support
Affiliations
Shareholder of The Aleut Corporation, TDX, and a tribal member of The Aleut Community of St. Paul Island.
Timeline
HR Generalist II
The Aleut Corporation – Human Resources
05.2023 - Current
Benefits Analyst III
Ahtna – Human Resources
02.2023 - 05.2023
Benefits Administrator
GCI – Human Resources
02.2018 - 02.2023
HR Administrator
The Aleut Corporation – Human Resources
01.2015 - 04.2017
Benefits Administrator/Compensation Analyst
Alaska Native Tribal Health Consortium – Human Resources
04.2012 - 01.2015
Case Manager Assistant
Alaska Native Tribal Health Consortium – Internal Medicine Clinic
06.2008 - 06.2011
Senior Medical Billing Specialist
Alaska Native Tribal Health Consortium – Business Office
08.2007 - 06.2008
Senior Medical Clerk
Alaska Native Tribal Health Consortium – Internal Medicine Clinic
06.2006 - 08.2007
Case Manager Assistant
Alaska Native Tribal Health Consortium – Internal Medicine Clinic
01.2004 - 06.2006
Medical Clerk
Southcentral Foundation – Family Medicine Clinic
10.2001 - 08.2004
High School Diploma - undefined
AJ Dimond High School
SHRM-CP -
Society For Human Resources Management